Career Opportunities

Job Summary Under the direction of the Director of Care Management, the RN Care Manager is responsible for managing high risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes. The RN Care Manager will formulate and implement a care management plan that addresses the members…

JOB SUMMARY The Intake Specialist will be responsible for entering requested authorization of health care services received via telephone, internet, and fax, sorting, and identifying incoming requests. The Intake Specialist will be responsible for following up with providers to obtain clinical information on UM requests. This role may also work with members on redirecting to in-network…